Neo-adjuvant and/or Adjuvant Subcutaneous Trastuzumab (Herceptin


Journal

Anticancer research
ISSN: 1791-7530
Titre abrégé: Anticancer Res
Pays: Greece
ID NLM: 8102988

Informations de publication

Date de publication:
Jan 2021
Historique:
received: 30 11 2020
accepted: 15 12 2020
entrez: 9 1 2021
pubmed: 10 1 2021
medline: 26 1 2021
Statut: ppublish

Résumé

Subcutaneous Herceptin (HER SC) has been shown to be equally effective and safe compared to intravenous Herceptin (HER i.v.) application in early HER2-positive breast cancer (HER2+ BC). However, real-world data from the subcutaneous application are currently limited. Based on a non-interventional study (NIS), data from routine clinical use of HER SC have been gathered between 2013 and 2018 in 135 hospitals and open-care practices throughout Germany. A total of 265 patients were recruited in the neo-adjuvant and 605 patients in the adjuvant setting. Primary effectiveness endpoint in the neoadjuvant treatment setting was pathological complete response rate, which was achieved in 41.5%. Primary endpoint in the adjuvant setting was disease free survival rate after 2 years (94.9%). Safety results from the study were comparable to the well-known safety profile of HER i.v. including preferred terms, incidence, severity, including cardiac events. No new safety signals were detected. Effectiveness and safety of HER SC were comparable to data from HER i.v. in early HER2+ BC.

Sections du résumé

BACKGROUND/AIM OBJECTIVE
Subcutaneous Herceptin (HER SC) has been shown to be equally effective and safe compared to intravenous Herceptin (HER i.v.) application in early HER2-positive breast cancer (HER2+ BC). However, real-world data from the subcutaneous application are currently limited.
PATIENTS AND METHODS METHODS
Based on a non-interventional study (NIS), data from routine clinical use of HER SC have been gathered between 2013 and 2018 in 135 hospitals and open-care practices throughout Germany.
RESULTS RESULTS
A total of 265 patients were recruited in the neo-adjuvant and 605 patients in the adjuvant setting. Primary effectiveness endpoint in the neoadjuvant treatment setting was pathological complete response rate, which was achieved in 41.5%. Primary endpoint in the adjuvant setting was disease free survival rate after 2 years (94.9%). Safety results from the study were comparable to the well-known safety profile of HER i.v. including preferred terms, incidence, severity, including cardiac events. No new safety signals were detected.
CONCLUSION CONCLUSIONS
Effectiveness and safety of HER SC were comparable to data from HER i.v. in early HER2+ BC.

Identifiants

pubmed: 33419847
pii: 41/1/485
doi: 10.21873/anticanres.14799
doi:

Substances chimiques

Antineoplastic Agents, Immunological 0
Biomarkers, Tumor 0
Receptor, ErbB-2 EC 2.7.10.1
Trastuzumab P188ANX8CK

Types de publication

Journal Article Multicenter Study

Langues

eng

Sous-ensembles de citation

IM

Pagination

485-496

Informations de copyright

Copyright© 2021, International Institute of Anticancer Research (Dr. George J. Delinasios), All rights reserved.

Auteurs

Marcus Schmidt (M)

Department of Obstetrics and Gynecology, University Medical Center, Mainz, Germany; marcus.schmidt@unimedizin-mainz.de.

Sherko KÜmmel (S)

Breast Unit, Kliniken Essen-Mitte, Essen, Germany.
Department of Gynecology with Breast Unit, Charité Hospital Berlin, Berlin, Germany.

Antonia Ruf-Doerdelmann (A)

Gynecological Clinic, Städtisches Klinikum, Breast Center, Karlsruhe, Germany.

Andrea Distelrath (A)

Joint Practices for Urology and Oncology, Wilhelmshaven, previously, MVZ Osthessen GmbH, Fulda, Germany.

JÜrgen Wacker (J)

Bruchsaler Brustzentrum, Fürst-Stirum-Klinik, Bruchsal, Germany.

Sabine Schmatloch (S)

Elisabeth-Krankenhaus, Brustzentrum, Kassel, Germany.

Saskia Busch-Liles (S)

Roche Pharma AG, Grenzach, Germany.

Kerstin LÜdtke-Heckenkamp (K)

Department of Oncology and Hematology, Niels Stensen-Kliniken, Georgsmarienhütte, Germany.

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Classifications MeSH